WENDY BRANNAN FULLER (NPI# 1992714984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992714984 |
| Entity Type | Individual |
| Full Name | WENDY BRANNAN FULLER |
| Credential | FNP |
| Practice Address |
3720 Davinci Ct Ste 400 Norcross GA 30092-7627 |
| Mailing Address |
3720 Davinci Court Ste 400 Norcross GA 30092 |
| Practice Telephone | 4782886308 |
| Practice Fax Number | 7705824189 |
| Mailing Telephone | 4782886308 |
| Mailing Fax Number | 7705824189 |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2015-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN093416 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 894206368F | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699285759 | Wendy P Fuller | Psychologist | 75-79 263rd St, Glen Oaks, NY 11004 | 2017-10-03 |
| 1871149641 | Wendy Fuller | Counselor | 1084 S Main St Ste A, Bowling Green, OH 43402-4740 | 2019-08-16 |
| 1487840963 | Wendy Jo Fuller | Physical Therapist | 1818 N Meade St, Appleton, WI 54911-3454 | 2007-09-19 |
| 1700840568 | Wendy S Fuller | Nurse Practitioner | 551 N Cherokee Rd, Social Circle, GA 30025-2887 | 2006-04-17 |
| Street Address |
3720 DAVINCI CT STE 400 |
| City | NORCROSS |
| State | GA |
| Zip Code | 30092-7627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528048238 | Grace Koucheravy | Nurse Practitioner | 3720 Davinci Ct, Suite 400, Norcross, GA 30092-7627 | 2006-01-19 |
| 1326598681 | Compassus Op of Georgia I LLC | Hospice Care, Community Based | 3720 Davinci Ct, Ste 400, Norcross, GA 30092-7627 | 2016-10-11 |
| 1174911358 | Rakeisha Nichole Franklin | Nurse Practitioner | 3720 Davinci Ct, Norcross, GA 30092-7627 | 2014-12-23 |
| 1770903023 | Mary Perloe | Nurse Practitioner | 3720 Davinci Ct, Norcross, GA 30092-7627 | 2014-04-24 |
| 1477970549 | Kami Bonner Pugh | Nurse Practitioner | 3720 Davinci Ct, Suite 400, Norcross, GA 30092-7627 | 2014-03-26 |
| 1124467873 | Janeen Renee Cook | Nurse Practitioner | 3720 Davinci Ct, Ste 400, Norcross, GA 30092-7627 | 2013-06-17 |
| 1326486168 | Lorie S. Delk and Associates, Inc. | Speech-Language Pathologist | 3720 Davinci Ct, Suite 250, Norcross, GA 30092-7627 | 2013-06-13 |
| 1437493277 | Chad Harlin | Nurse Practitioner | 3720 Davinci Ct, Suite 400, Norcross, GA 30092-7627 | 2012-11-16 |
| 1114202207 | Lora Elizabeth Crowe | Nurse Practitioner | 3720 Davinci Ct, Ste 400, Norcross, GA 30092-7627 | 2011-10-20 |
| 1982903902 | Lacey Nicole Stevens | Nurse Practitioner | 3720 Davinci Ct, Suite 400, Norcross, GA 30092-7627 | 2011-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083172035 | Tebo Dentistry for Kids Peachtree Corners, LLC | Clinic/Center | 6460 Spalding Drive, Suite C, Peachtree Corners, GA 30092 | 2019-03-08 |
| 1043794472 | Cai Hong Senior Services Inc | Clinic/Center | 4093 Spalding Hollow, Peatree Corners, GA 30092 | 2018-09-21 |
| 1952810566 | Children In Motion Therapy Services LLC | Occupational Therapist | 5655 Peachtree Pkwy Ste 117, Norcross, GA 30092 | 2017-09-26 |
| 1922517945 | Infinity Wellness Solutions LLC | Emergency Medicine | 3240 Pointe Parkway, Suite 100, Norcross, GA 30092 | 2017-09-21 |
| 1346769593 | Global Diagnostic Labs, LLC | Pathology | 3240 Pointe Pkwy Ste 200, Norcross, GA 30092 | 2017-09-19 |
| 1467993345 | Boris Mcguire Day | Counselor | 3597 Monticello Commons, Norcross, GA 30092 | 2017-03-13 |
| 1598205239 | Iwc East LLC | Internal Medicine | 40 Technology Parkway, #300, Norcross, GA 30092 | 2017-02-28 |
| 1851744254 | Lms Surgical Services | Specialist/Technologist, Other | 6050 Peachtree Pkwy Suite240-358, Norcross, GA 30092 | 2016-07-20 |
| 1881085603 | A Hand To Hold | Home Health | 3459 Holcomb Bridge Rd., Suite 100, Peachtree Corners, GA 30092 | 2015-02-16 |
| 1790196467 | Wranglehurst, P.C. | Dentist | 3850 Holcomb Br. Rd, Suite 230, Norcross, GA 30092 | 2014-05-15 |
| Find all providers in zip 30092 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089072 | Diana Maresi Bulimu | Nurse Practitioner | 6050 Peachtree Pkwy # 240-178, Norcross, GA 30092-3336 | 2020-10-08 |
| 1053926923 | Elisa Acevedo | Nurse Practitioner | 5836 Buford Hwy Ste C, Norcross, GA 30071-2581 | 2020-09-08 |
| 1316200579 | Gwinnett Medical Specialists LLC | Nurse Practitioner | 414 Glenleaf Dr, Norcross, GA 30092-6104 | 2012-06-21 |
| 1982239497 | Ying Fu | Nurse Practitioner | 777 W Peachtree St, Norcross, GA 30071-1868 | 2020-03-04 |
| 1215584198 | Julie B Sewell | Nurse Practitioner | 40 Technology Pkwy S Ste 300, Norcross, GA 30092-2924 | 2019-08-24 |
| 1093271124 | Jennifer Nicole Woodall | Nurse Practitioner | 3720 Davinci Ct Ste 400, Norcross, GA 30092-7625 | 2019-02-13 |
| 1093291544 | Linda Johnson | Nurse Practitioner | 6063 Peachtree Pkwy, Norcross, GA 30092-3303 | 2018-07-18 |
| 1134672033 | Carol C Wong | Nurse Practitioner | 4775 Jimmy Carter Blvd, Suite 201, Norcross, GA 30093-3760 | 2016-07-27 |
| 1477970549 | Kami Bonner Pugh | Nurse Practitioner | 3720 Davinci Ct, Suite 400, Norcross, GA 30092-7627 | 2014-03-26 |
| 1548313539 | Barbara Nicole Davis | Nurse Practitioner | 3720 Davinci Ct, Norcross, GA 30092-7627 | 2007-01-21 |
| Find all providers in NORCROSS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.